Organization
HICHAM MEKOUAR DDS PC
Active
Other names
gateway dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HICHAM MEKOUAR DDS (PRESIDENT)
(703) 753-3346
Entity
Organization
Contact information
Practice address
7462 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 753-3346
(703) 753-8836
Mailing address
7462 LIMESTONE DR, GAINESVILLE, VA 20155-4007
(703) 753-3346
(703) 753-8836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
411070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010335621
—
VA
Enumeration date
05/15/2007
Last updated
04/28/2010
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